So I want to become fertile again. Me and the fiance want to have a baby. I’ve tried numerous times with her and others in the past and can basically tell im shut down.
I’m age 33 and have been on TRT for 7 years with great labs and everything in balance. Called my TRT doctors office and without getting to talk to actual Dr his assistant prescribed me clomid @ .25mg a day. She told me to start tapering down on my twice a week of injections which were two injections of 100mg (so 200mg total a week) and .5mg of Anastrozole after each injection. Till my scheduled appointment next month, since DR is so booked.
Ive tried looking on the internet to see if Clomid AND Testosterone can be used together for fertility, and found nothing at all I also don’t want to completely get of the Testosterone and feel like shit if i don’t have too. Also am i wasting my clomid and time still taking my shots till i get into see my DR. i know it takes 90+ days from production to ejaculation
I don’t know if clomid and T will work together. I see people say clomid won’t work while on TRT but I’ve never seen an explanation on why or a study proving it, though I haven’t looked too hard either.
Anyways. Worst case, if that doesn’t work, I would look into HCG and FSH. FSH is expensive but that will directly stimulate sperm production, so it usually does the trick given some time to work. HCG may help but if you’ve been shutdown for 7 years you might need something stronger IMO
HCG here in US where I live is harder to get cause compounding pharmacies are getting licenses removed or some shit. or its wayyy expensive now. Never heard of getting straight FSH. will ask Dr. ill get labs done a week before visit, hopefully he’ll check LH levels and all the sperm making levels im unaware of. assuming FSH is other
Yeah, HCG isn’t hard to get for normal pharmacies. My PCP writes me a script for it and CVS fills it. The compound pharmacies are no longer able to make it for trt clinics. So instead of the clinics just prescribing it and letting you get it at a normal pharmacy they give you Clomid and lie to you about its effectiveness. It is 100% bullshit. The clinics all have lucrative deals with the pharmacies they use and they’re loathe to use someone else.
HCG restores fertility. They’ve done studies, we know the results, it works. If you want to have a baby and you’re currently not able to then HCG is the path. Some guys are able to impregnate their ladies while still on trt, others need to come off and run the hcg protocol as outlined by the biggest study that’s been done. You won’t know which one you are until you’ve either tried for a while on trt or until you get the results of a semen analysis. The one thing I’m confident in is this: Clomid is absolutely not the answer you’re looking for. Can it theoretically work? Maybe. But we know—again, based on scientific data—that HCG works. If this is important to you then you should be looking at the path with the highest success rate and not the one that’s most convenient for the clinic that you’re going to. There’s a reason more and more of us are dumping our clinics after years of being loyal customers.
Not as true as most people think. Empower still has it for $46 for 6000 IU’s. Regular pharmacies like cvs have it as well. The problem is most TRT places just don’t want to give you a regular prescription that you can take to CVS for reasons already stated.
Look up Boston loyd fertility protocol. Not many docs do much with fsh but it is very effective. It is also very expensive though unfortunately.
I get all my TRT prescriptions ie: Testosterone, Anastrazole, syringes and everything else my Dr has prescribed me at Rite Aid aka big name normal pharmacy like CVS. and not a compounding pharmacy. So i’m confused as to why they would tell me its super expensive and or lie to me. I guess i’ll just do what i’m doing now until I see the Dr on the 11th and demand HCG.
I am genuinely still curious if adding Clomid to exogenous Testosterone can still cause/bring back fertility.
Just looked on GoodRx and it’s between $80-110 at the pharmacies around me. That’s about the least expensive thing you’ll buy if you’re going to have a kid.
Yeah i think i saw that too. Ive been shut down a good long time I’m sure. Will HCG with my Test bring the boys back to making actual sperm instead of just growing my balls?
Main goals are: Get fertile ASAP, not feel like shit, keep test levels high as possible and not have bad side effects. PS knock her up asap haha
Just looked up the price for Gonal and holy shit for that price you can probably get a couple of kids from China and have money left over for a flight home from Wuhan.
Yeah, it’s insane, assuming gonal = FSH. I’m spending $250 a month on it and that’s for a relatively low dose through Empower. If I was getting it through CVS the price is 4x that and I’d hit my lifetime fertility drug max through my insurance company in a whopping 3 months
hi guys im new. i am an old family doctor and we use clomiphene for testosterone replacement in hypogonadal men and also sperm count elevation. in my patients 50 clomid every other day gets testosterone up to 800 (n=300-1000). men who use testosterone replacement who want to have children are switched to clomiphene like the above doctor did. i agree with the doctor slowly switching from trt to clomid. i disagree with the meathead who said us doctors don’t know anything.
Then get the word out to your brethren to stop doing absolutely dumb shit that hurts patients and requires them to go through Hell just to feel better.
Also, since you’re very proud of your particular practice, can you explain why you’re using Clomid when enclomiphene does the same thing and carries significantly fewer side effects, both short term and long term?
And what does their free T do? Do symptoms resolve? Do they actually feel better long term? How long do you leave them on Clomid? Is this just for fertility purposes or are you saying long term you prefer Clomid over Testosterone, even once fertility isn’t a concern?
Just today I’ve talked to 3 people whose doctors gave them 200mg of testosterone, ONCE A MONTH. And another gets 100mg, every other week. If you want us to believe doctors know anything about hormone replacement, maybe they should quit being such idiots about it. It takes 30 seconds of research to see how low T levels get 7-8 days after an injection, yet they still try to go 2 or 4 weeks between injections. We see it over and over and over and over.
Why do you prefer a medication, a freakenstein drug, a toxin to a bioidentical hormone that is indistinguishable by the body from the naturally produced hormone?
Typically US docs don’t know enough to greatly affect the patient outcome in a positive way with regards to TRT, because a lot of docs don’t know how to prescribe TRT and/or aren’t willing to deviate from the recommended 150-200mg every 2-4 weeks.
My endo first endo tried to prescribe 200mg every 3 weeks, second endo 150mg every 2 weeks, per guidelines, and it seems every endo is doing things differently and no one is on the same page.
That comes across as dysfunction in my book and shows the guidelines and knowledge among docs worldwide is seriously lacking and why these forums are filled with poor outcomes.
Out of curiosity what does your typical TRT protocol for your patients look like?
